Campbell J C, Weber N
Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Nurs Sci Q. 2000 Jan;13(1):45-53. doi: 10.1177/08943180022107276.
A model of women's responses to battering was constructed based on Orem's theory of self-care deficit and on empirical and clinical observations. The model proposed that the age, educational level, and cultural influences as basic conditioning factors would all be directly related to relational conflict, which would be negatively related to self-care agency (as a mediator) and indirectly related to both outcomes of health and well-being. Using simultaneous structural equation modeling with specification searching, a modified model was derived that eliminated the mediation path but supported direct effects of both abuse and self-care agency on health. The derived model was found to be only a borderline fit with the data, probably due to measurement problems, lack of inclusion of important variables, and small sample size (N = 117). However, there was support for several of the relationships deduced from and/or congruent with Orem's theory.
基于奥瑞姆的自我护理缺陷理论以及实证和临床观察结果，构建了一个女性受虐反应模型。该模型提出，年龄、教育水平和文化影响作为基本制约因素，都将直接与关系冲突相关，而关系冲突与自我护理能力（作为中介变量）呈负相关，并与健康和幸福这两个结果间接相关。通过使用带有规范搜索的联立结构方程模型，得出了一个修正模型，该模型消除了中介路径，但支持虐待和自我护理能力对健康的直接影响。结果发现，导出的模型与数据仅勉强拟合，这可能是由于测量问题、未纳入重要变量以及样本量较小（N = 117）。然而，奥瑞姆理论推导得出的和/或与之相符的几种关系得到了支持。
